SearchIllinoisSurgical Physician Assistant

Jeremy Houtakker, P.A

NPI 1902092109 · on the registry since 2007

Practice

Address
750 E Terra Cotta Ave
Suite C
Crystal Lake, IL 60014
Phone
(815) 455-0800
Fax
(815) 455-2895
Organisation at this address
Athletico, Ltd.
Center For Neurology Sc
Mceneaney & Lesniak Associates
Mercy Health System Corporation
Crystal Lake Regenerative Pain Associates Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-09-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois